Clinical Services Coordinator

Vision Loss Rehabilitation Canada (VLRC) is a national health services organization dedicated to empowering people who are blind or partially sighted to live safely and independently. Our certified specialists provide client-centered rehabilitation, mobility training, and daily living skills programs that help clients build confidence and thrive. We work collaboratively with ophthalmologists, optometrists, and other health care professionals, offering essential care on a referral basis in homes, workplaces, and communities across the country. We value our employees as our greatest asset — and we’re committed to supporting their well-being, professional growth, and work-life balance. Position Title: Clinical Service Coordinator Status: Full-time, Contract – till March 17, 2028; Reports To: Manager, Healthcare Operations Posting Date: September 3, 2026 This is an opportunity to play a pivotal role in an innovative Hospital-to-Home transition program that improves outcomes for individuals adjusting to vision loss. You will work alongside healthcare providers, rehabilitation specialists, and community partners to help clients regain independence, access critical supports, and successfully navigate life beyond hospital discharge. The role offers meaningful client impact, strong interdisciplinary collaboration, and the opportunity to help shape innovative approaches to integrated rehabilitation care. The Clinical Service Coordinator is responsible for supporting individuals experiencing vision loss as they transition from hospital to home and community-based rehabilitation services. Serving as the primary point of contact from referral through service delivery, this role provides case management, care coordination, system navigation, and client advocacy to ensure individuals receive timely access to rehabilitation, healthcare, and community supports. Working closely with hospitals, healthcare providers, clients, families, and VLRC's interdisciplinary team, the Clinical Service Coordinator helps remove barriers to care, supports successful transitions, and promotes client independence, safety, and quality of life. Success in this role requires strong case management, discharge and transition planning, care coordination, sound clinical judgment, exceptional relationship-building skills, and the ability to navigate complex healthcare and community service systems. Knowledge of vision rehabilitation is an asset; however, comprehensive training related to vision loss, rehabilitation pathways, and VLRC services will be provided. Client Assessment, Case Management & Service Planning Serve as the primary point of contact for clients referred to the Hospital-to-Home Program, leading intake, needs assessment, service planning, and coordination of supports throughout the transition from hospital to community-based rehabilitation. Conduct intake, needs and risk assessments to identify client goals, rehabilitation priorities, support requirements, and barriers to independence and community living. Develop and monitor individualized service plans that connect clients with appropriate rehabilitation, healthcare, and community resources. Establish baseline outcomes and monitor progress to support successful transitions and achievement of client goals. Care Coordination and Healthcare Transitions Coordinate admission to VLRC services and facilitate timely commencement of appropriate rehabilitation supports. Collaborate with hospitals, healthcare providers, community organizations, and referral partners to develop integrated transition plans and support positive client outcomes. Assess discharge readiness, support systems, living circumstances, and service requirements to ensure continuity of care across providers and settings. Serve as the central liaison among clients, families, healthcare professionals, and rehabilitation teams, facilitating communication, problem-solving, and shared care planning to rehabilitation, healthcare, and community supports. Participate in case conferences, discharge-planning discussions, and interdisciplinary care meetings. Support clients and families in navigating complex healthcare and community systems while advocating for access to appropriate services and resources. Ensure accurate and timely documentation of client interactions, assessments, service plans, outcomes, and follow-up activities in compliance with organizational and professional standards. Monitor client progress, service delivery metrics, and rehabilitation outcomes to support informed decision-making and program effectiveness. Facilitate successful transitions of care by coordinating follow-up activities, resolving outstanding service needs, and supporting planned case closures Quality, Safety and Program Development Identify and elevate clinical, psychosocial, accessibility, and service-related risks in accordance with organizational standards. Contribute to program evaluation, qualit